International Journal of Care Scholars (IJCS)
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A Review of Communication and Patient Safety
Full text linkBackground: Addressing and improving communication skills among healthcare professionals is crucial not only for enhancing patient satisfaction but also for promoting positive health outcomes and overall healthcare quality. Therefore, this review aims to understand the communication skills among nursing and healthcare personnel.
Methods: The PICO format is employed to articulate the components of a well-structured clinical question, guiding the exploration of pertinent evidence for the literature review.
Results: A collective of 25 literature subjects relevant to the research topic were identified. The review yielded four main themes: (1) Establishing the definition of poor communication, (2) Underscoring the significance of communication skills, (3) Examining the impact of poor communication on patient safety, and (4) Identifying factors associated with inadequate communication.
Conclusion: In summary, this review highlights the crucial need to understands the communication level of the nursing and healthcare personnel in ensuring patient safety
When Student Midwives Make Clinical Mistakes: A Qualitative Study in Brunei Darussalam
Full text linkBackground: This study aimed to understand how student midwives perceive clinical mistakes and describe how they are supported by healthcare professionals when mistakes are made.
Methods: The study adopted an exploratory qualitative research design with a sample of 9 undergraduate midwifery students from a higher institution in Brunei Darussalam. Data was collected through semi-structured online interviews with five open-ended questions.
Results: Three broad themes were identified, namely: (1) Clinical mistakes as lessons, (2) Toxic work environment, and (3) Value of appropriate guidance.
Conclusion: The findings indicate the student midwives’ perceptions regarding mistakes encountered in the clinical setting. The student's capacity and motivation to learn were impeded by the unsupportive environment and unwelcoming attitudes demonstrated by certain midwives, including the mentors. However, they viewed clinical mistakes as opportunities to grow and learn. Furthermore, the students emphasised the significance of guidance and mentorship from clinical educators in developing proficient midwives. Thus, by recognising mistakes as learning opportunities and receiving the appropriate support from mentors, students may be better prepared to provide high-quality care for mothers and infants.
Essential Life-Saving Skills for Schoolchildren: A Scoping Review
Full text linkBackground: Teaching lifesaving skills such as first aid and initial cardiopulmonary resuscitation (CPR) to schoolchildren can increase the lifelong ability and motivation of young people to take action in an emergency.
Methods: This scoping review aimed to look for the literature related to the essential life-saving skills for schoolchildren, focusing on first aid and initial cardiopulmonary resuscitation (CPR) before the arrival of medical professionals. A scoping review was conducted by using the PRISMA guidelines to meet the objective of this study.
Results: Fourteen articles published between 2017 and 2024 were analyzed, revealing three main themes: educational approaches for teaching first aid and CPR to schoolchildren, the effectiveness of first aid and CPR Training Programmes for schoolchildren, and barriers and facilitators of First Aid and CPR Training Programmes for schoolchildren.
Conclusion: Findings suggest a crucial need to equip schoolchildren with the necessary skills to respond effectively to emergencies. Recommendations include implementing comprehensive first aid and CPR training programmes as life-saving skills for schoolchildren in schools
Stroke Knowledge and Informational Needs Among International Islamic University Malaysia Nursing Students: A Preliminary Study
Full text linkIntroduction: Stroke is one of the most recognisable diseases affecting the Malaysian population. The growing incidence of a stroke every year requires nursing students to get their knowledge updated. Objective: To provide a baseline on our nursing student’s level of knowledge and information needs on stroke to prepare them as future healthcare providers in the community.Methods: A cross-sectional study was conducted using adapted questionnaires to assess the level of knowledge and information needs of stroke among 30 nursing students from Kulliyyah of Nursing, International Islamic University Malaysia through a convenience sampling method. Descriptive statistics were used in data analysis via SPSS version 27.0. Results: The mean age of the students was 23.23 (±0.68), 96.7% were female and residents of Mahallah Ummu Kalthum, all of them were year four students, and 93.3% were single. Almost 43.3% had a family history of stroke while 50% have experience in taking care of stroke patients. The results highlighted that nursing students have good stroke knowledge with a mean score of 13.17 (±2.20) but a moderate score for information needs on stroke [125.83 (±15.62)]. Conclusion: Overall, nursing students showed that they have better knowledge regarding stroke disease but require further information on stroke-related nursing skills. This is in lieu of the diversity of stroke and its subtype which affect different nursing care needed
"Alone We Can Do So Little; Together We Can Do So Much": Nurses’ Involvement in The Associations
Full text linkPrevalence of Stress and Stressors During the COVID-19 Endemic Era Among Healthcare Students
Full text linkIntroduction: The COVID-19 pandemic has introduced challenges across diverse facets of human life, profoundly affecting the mental health of individuals, including students, regardless of their fields. This study delves into the intricate relationship between socio-demographic factors and stress among undergraduate healthcare students at IIUM during the endemic phase of COVID-19. Factors such as gender, race, academic year, kulliyyah, study support, family financial status, and psychological history are examined in connection to stress incidence. The motivation for this investigation stems from the limited and scattered data available for this specific pandemic phase.
Methods: Employing a cross-sectional design, the study utilized random stratified sampling, focusing exclusively on active undergraduate healthcare students who underwent clinical postings during the pandemic. The analysis included students from the Kulliyyah of Medicine, Nursing, Dentistry, Pharmacy, and Allied Health Sciences. Data collection involved an online Google Form questionnaire encompassing the PSS-10, Undergraduate Source of Stress questionnaire, and an open-ended question.
Results: Within the study participants, 26 individuals (14.7%) indicated experiencing low stress levels, while 126 students (71.2%) reported moderate stress, and 25 students (14.1%) expressed high perceived stress. Analyzing the distribution of stress among healthcare students at IIUM, it was observed that KON students had the highest proportion at 49.2%, followed by KAHS at 18.1%, KOM and KOD both at 11.3%, and KOP at 10.2%. SPSS version 27.0 facilitated data analysis, revealing no significant association between socio-demographic factors and stress levels. Contributing factors to stress included course material volume, time demands, uncertainty about course expectations, intellectual demands, and university fees.
Conclusion: Despite the challenges, most healthcare students exhibited controlled, moderate stress levels during the transition from pandemic to endemic phases
When Things Go Wrong: A Qualitative Study of Nursing Students' Views of Clinical Mistakes
Full text linkBackground: The hospital environment is frequently perceived by students as both dynamic and complex. Thus, clinical mistakes are considered inevitable and have adverse patient outcomes. The study explored nursing students' insights and experiences of mistakes in their clinical practice.
Methods: The study adopted an exploratory qualitative research design with a sample of 11 nursing students from a higher institution in Brunei Darussalam. Data was collected through semi-structured online interviews with seven open-ended questions.
Results: The study identified three key themes: the interpretation of clinical mistakes, perceived concern about clinical mistakes and the support required by students. This study emphasised the importance of effective communication, a nurturing educational setting, and reflective practice on clinical mistakes to enhance nursing students' professional development.
Conclusion: The findings of the study suggest that nursing students had an understanding of the negative implications associated with clinical mistakes. According to the students, the act of making mistakes is perceived to be valuable for both personal and professional development. Effective supervision, cultivating a constructive rapport, and developing trust make it possible to prevent clinical mistakes. Furthermore, the students emphasised the need to cultivate confidence, as it directly impacts their clinical proficiency. Therefore, a greater priority on patient safety should be incorporated into the curriculum to improve the management and prevention of clinical mistakes. Particular attention should also be paid to enhancing clinical learning through strengthened supervision by both supervisors and nurse educators. Most importantly, students must be able to recognise their responsibility to employ a proactive learning strategy to ensure patient safety and the efficacy of their clinical practicum
Experiences and Challenges Encounter Among Female Academics During Covid-19 Pandemic: A Systematic Review
Full text linkThe declaration of COVID-19 as a pandemic demonstrated the extent of virus contamination worldwide. The pandemic made people in dilemma. The COVID-19 pandemic gave off a huge impact towards face-to-face or physical learning and the world now is going to virtual online learning and teaching until this pandemic settless down. In the academic sector, academics are challenged by virtual teaching to deliver lectures and determine the most effective method. This systematic review aimed to identify the available studies on experiences and challenges encountered among female academics during Covid-19. Searching the literature was systematically done using the PRISMA flow diagram, and the inclusion and exclusion criteria of the study were set prior to the literature search. The quality assessment was conducted by using the CASP and MMAT. There are five themes synthesised from the 21 articles included in this study. Those are experiences encountered by female academics as a mother, challenges encountered by academics as women, impacts of the Covid-19 pandemic on academic females, opinions from academicians on Distance Education during Covid-19, and strategies, coping mechanisms and solution to overcome the barriers among female academics. This study recommended for the faculty and university have a serial discussion on how to increase the effectiveness of online teaching. Beforehand, a feedback survey can be given to the female academics to analyse their current condition such as insufficient technology or standardized guidance for them to enhance online teaching. It was advisable to review the calibre and efficacy of the teaching modalities and infrastructure for the academics, even though the university had previously provided the guidelines for online teaching